Gynaecology

Dr Orford is a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (FRANZCOG). He obtained this qualification in Jan 2001, having completed the six years of specialist training required, and has been in private practice since then.

Our practice strives to achieve the best health outcome we can. This begins with good communication, provision of information regarding options of care, and then delivering that care expertly.

Many gynaecological conditions can be managed conservatively (without surgery), and there are increasing non-surgical options available. These can include changing lifestyle factors, use of allied health practitiones such as physiotherapis, and medical therapy (medications). If these treatments are not sufficient then surgery may be an option.

Minimally Invasive (laparoscopic) Surgery

Dr Orford has spent over 15 years now developing his laparoscopic (keyhole) surgical skills, and range of procedures, and has now performed many advanced laparoscopic procedures.

In 2005 he founded SALS - Sunshine Coast Advanced Laparoscopic Surgery (www.sals.com.au).  

The visions for SALS was to:

  • provide clear information to women regarding surgical and non surgical options for their health concerns.
  • to help weigh the pros and cons of these options
  • to provide excellent surgical procedures to maximise outcomes and recovery, and minimise risks.
  • to promote the use of minimally invasive surgery through teaching of specialist trainees and colleagues.

Dr Orford has taught (and continues to teach) registrars ( trainees of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists) since 2001, with emphasis on teaching advanced laparoscopy to the senior trainess, in their last year of training before becoming specialists. He also regulary hosts Laparoscopic Hysterectomy workshops at The Sunshine Coast Private Hospital, where 1-2 Gynaecological specialist colleagues can attend his theatre sessions to learn, through observation and assisting, the techniques involved in performing this procedure. He has hosted specialist colleagues from:

  • Brisbane
  • Sydney
  • Adelaide
  • Hobart
  • Perth
  • Bundaberg
  • Hervey Bay
  • New Zealand

The laparoscopic "key hole" approach allows for :

  • Less pain
  • Less time in hospital
  • Very small incisions (5-10mm)
  • Quicker return to normal activities / work.

Laparoscopic surgery can be used for:

  • Fertility investigation and treatment
  • Diagnosis and removal of endometriosis and adhesions
  • Ovarian lesions
  • Full hysterectomy (with or without removal of ovaries)
  • Bladder continence restoration
  • Some types of prolapse surgery.

Dr Orford offers “mesh free” surgery for bladder incontinence and prolapse – avoiding the potential complications of mesh such as infection, erosion, ongoing pain, and the need for removal.  www.fda.gov/medicaldevices/safety/alertsandnotices/ucm262435.htm

Gynaecological services include:

  • Menstrual problems – pain / heaviness
  • Abnormal pap smears
  • Family planning including fitting IUD (intra-uterine device) and tubal ligation
  • Infertility (see separate page)
  • Utero-vaginal prolapse (some types amenable to laparoscopic repair)
  • Bladder incontinence (if surgery required then usually laparoscopic, mesh free surgery)
  • Removal / treatment endometriosis (laparoscopic)
  • Hysterectomy with or without removal of ovaries (usually  as full laparoscopic  procedure)

Links

www.ranzcog.edu.au